基因预测甲状腺功能和结直肠癌风险:双向的门德尔随机化研究
Qiang Du1, Zhaoyang Zheng1, Yong Wang1
1Division of Gastrointestinal Surgery, Department of General Surgery, West China Hospital of Sichuan University, No. 37 Guoxue Lane, Chengdu, 610041, Sichuan, China.
Journal of cancer research and clinical oncology
|August 5, 2023
概括
高基底代谢率 (BMR) 可能会增加结肠直肠癌 (CRC) 的风险,根据孟德尔的随机化研究. 甲状腺功能,不包括BMR,显示没有与CRC的因果关系. 建议对BMR和CRC预防进行进一步的研究.
科学领域:
- 遗传学和流行病学
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
背景情况:
- 相互矛盾的观察研究表明甲状腺功能与结直肠癌 (CRC) 之间存在联系.
- 了解因果关系对于制定有效的CRC预防策略至关重要.
研究的目的:
- 使用孟德尔随机化研究五个甲状腺相关指数和CRC之间的因果关系.
- 评估甲状腺功能和CRC之间的双向影响.
主要方法:
- 采用了双样本的孟德尔随机化 (MR) 分析.
- 使用全基因组关联研究 (GWAS) 的甲状腺表型 (甲状腺功能过高,甲状腺功能低下,TSH,FT4,BMR) 和CRC的数据.
- 进行了双向MR,分层分析和灵敏度分析.
主要成果:
- 基因预测的甲状腺功能障碍,甲状腺功能障碍,TSH和FT4与CRC风险没有因果关系.
- 基因预测的基础代谢率 (BMR) 与增加的CRC风险 (OR=1.30,P=0.0029) 有意义地相关.
- BMR与结肠癌有关,但与直肠癌无关;没有观察到CRC与甲状腺功能的反向因果关系.
结论:
- 这项双向MR研究表明,高BMR与CRC风险增加之间存在潜在的因果关系.
- 对高BMR个体进行增强查可能有助于CRC预防工作.
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